Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVE PRAKASH, MD
Active Sole ProprietorDR. DAVE PRAKASH, MD is a Clinic/Center healthcare provider located in BOSSIER CITY, Louisiana. NPI 1912201435 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1912201435
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2010 (15.658046230585 yrs)
- Last Updated
- Dec 23, 2010
- License
-
234586 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5526 LAKE SIDE DRBOSSIER CITY, LA, 711115504Browse LA providers · Browse ZIP 71111
- Phone
- 3158822278
- Primary Specialty
-
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.